Vitamins, minerals & supplements Archive

Medicines known as blood thinners are prescribed as long-term treatment to avoid initial or recurring blood clots that could cause serious complications. What does an ad in heavy rotation about the brand name blood thinner Eliquis get right and what else do you need to consider?

The American Heart Association released updated dietary guidelines in November 2021. Instead of focusing on certain nutrients, the guidelines emphasize healthy eating patterns that include fruits, vegetables, whole grains, plant-based proteins, and plant-based oils. The guidelines also urge people to avoid foods and drinks that are ultra-processed or that have lots of added sugars; to choose or prepare foods with little or no salt; to limit alcohol consumption; and to follow the rules for a heart-healthy diet no matter what the setting.

A 2021 study suggests that sildenafil (Viagra, Revatio), which is used to treat erectile dysfunction and pulmonary arterial hypertension, might also protect against Alzheimer's disease.

Almost 20% of people with hypertension may be taking medications that raise blood pressure, most often pain relievers such as ibuprofen (Advil) and naproxen (Aleve). Other classes, such as certain antidepressants, may also increase blood pressure.

There are many questions a patient should ask when a new medication is prescribed. Examples include why the medication is needed, what side effects to watch for, whether it might interfere with other drugs, how to take the drug, how long to take it, what to do for a missed dose, how to store it, how much it costs, whether there's a generic form, what signs indicate the drug is working, and how to get refills.

Probiotics can be helpful in some cases, but it's unclear whether they are safe for all older adults.

A study published online Aug. 26, 2021, by The Lancet found that blood pressure treatment protects against heart attacks, strokes, and other major cardiovascular disease problems in people up to age 85 and possibly older. For people younger than 75, the study confirmed that people taking blood pressure medicines had 10% to 20% fewer cardiovascular disease problems. For people 75 to 84, there still was a 10% reduction. For people older than 85, the results were mixed, but there still appeared to be a benefit from blood pressure treatment.

Naturally occurring plant compounds called stanols can help reduce cholesterol. But they may not be found in large enough amounts in butter substitutes to reduce cholesterol levels in the body. The best way to lower is cholesterol is still by eating a plant-based diet with more fruits and vegetables and less processed foods, reducing consumption of saturated fat, and working to maintain a healthy weight.